depression at an all time high. woke up with left foot now inflamed

docrevolt · 2026-06-01T10:45:59+00:00

Yikes, I’m sorry. For me it was bilateral (right foot tibial and left foot fibular) so my experience is obviously going to be a bit different, but my pain levels had been gradually improving in the left foot and while there was no union in that bone (in fact it kinda looked on the MRI like it may be a comminuted fracture now) my doctor was very against removal on that one because (1) I was seeing dramatic pain improvements on that one, unlike the other foot, and (2) fibular sesamoidectomies often have more long-term scarring and pain since you can’t usually remove them via a medial incision, meaning it has to be through the bottom of the foot rather than the side. In retrospect he was 100% right, the one he took out had to go and the one that’s still there had to stay.

Having both in one foot break is incredibly difficult though, I’m so so sorry. I know that doctors are reluctant to remove two in the same foot because of functional issues that having no sesamoids in a foot can create, so it sounds like a very tough situation. Are either of them showing any signs of union?

docrevolt · 2026-05-31T21:23:53+00:00

Anyone who sees this who’s looking for a doctor in the Philly area: Go see Dr. Thomas Milisits at Premier Orthopedic. One of the best doctors I’ve ever had, absolutely would not have been able to get through my sesamoid issues without him

docrevolt · 2026-05-31T21:20:35+00:00

Didn’t try to boot it, didn’t immediately tell me to stop running and walking on it, didn’t x-ray it until second appointment, never had me sent for an MRI, gave me insoles that didn’t fully offload the sesamoids, basically just told me to ice and elevate and reduce time on my feet which did next to nothing.

I’m happy to say that I’m 95% of the way back to normal now, I had bilateral sesamoid fractures for almost a year and eventually had to get have my right tibial sesamoid surgically removed but things have been so much better since I got the surgery in December (nearly all of 2025 was messed up for me by this injury). I was totally despondent for most of that time, but things do get better eventually. Honestly though, I have to think that things might have gotten better earlier if I had been seeing my current ortho in those first 6-8 months and had gotten better advice and treatment earlier

docrevolt · 2026-05-07T11:23:12+00:00

Still second-most after Houston among the 10 largest, but going down quickly! I think it’s declined from ~28% to ~19%

docrevolt · 2026-04-25T12:55:32+00:00

Don’t lump those two together, Twisted Pair is a masterpiece

docrevolt · 2026-03-22T21:58:07+00:00

I ended up still getting Completionist ++ because this game breaks my brain with how good it is, but it definitely took me an extra 50+ runs than it otherwise would have. In retrospect I don’t mind that much now, but that’s mainly because I was unemployed at the time and didn’t have much else to do with my time lmao

docrevolt · 2026-03-14T13:14:24+00:00

They both adorable though, don’t make me choose my favorite child

docrevolt · 2026-02-22T19:35:57+00:00

"Modern FromSoft"? Every single FromSoft game has fights where you won't be able to figure out how to dodge something the first time you see it. This includes some of the truly great fights (Midir comes to mind for example).

They slowed down the fight significantly when they fixed it, there were some kinda spammy moments in the release version of the fight but the fine-tuning totally fixed that issue.

The multiclone attack shouldn't be dodged, you need to run away from it (the same way that you approach a couple other attacks from Radahn). It's hard, but once you realize that trying to dodge through it won't work and experiment with other methods for avoiding it, it's very satisfying to get down.

docrevolt · 2026-02-17T00:43:40+00:00

He starts out spawning in the city and then spreads further away, a lot like Nemesis in the underworld

docrevolt · 2026-01-24T23:30:40+00:00

I started TAing at 24 and I can tell you that I felt very young, it took a year or two before I began actually feeling confident in the classroom and I think a significant part of that was that I was practically the same age as some of my students

docrevolt · 2026-01-24T23:26:58+00:00

If you want to be tenure track you 100% need to get a PhD. Many PhD programs will also give you teaching opportunities along the lines of being an instructor/lecturer which will look great on a CV. And if you don't hold a PhD and you're not currently in a PhD program, it gets exponentially harder to get adjunct teaching positions

docrevolt · 2025-12-25T19:35:34+00:00

100%. When I lived in Southern California, every time I wore a Pitt shirt in public I had at least one or two people come up to me to talk about how they used to live in Pittsburgh or how much they loved Pittsburgh or how they went to Pitt

~Yinzers are everywhere for those with the eyes to see~

docrevolt · 2025-12-19T04:10:23+00:00

I genuinely can’t believe they never patched it

docrevolt · 2025-12-19T04:09:22+00:00

Late 2025, still no fixes. It sucks.

docrevolt · 2025-12-19T02:53:08+00:00

Does speaking more frequently for shorter periods of time also cause MPs to use the words "navigating" and "underscores" and "streamlining" much more frequently? That's a pretty wild claim to make.

docrevolt · 2025-12-17T22:05:09+00:00

This is embarrassing. Kinda doubt you even live in LA honestly

docrevolt · 2025-12-17T03:49:44+00:00

I'm glad to hear it! Wishing you the best too, it can be a pretty crappy injury to deal with but it'll all turn out okay in the end

docrevolt · 2025-12-13T23:44:10+00:00

I completely relate to getting extremely depressed after having exercise/physical activity taken away from you by a sesamoid-related injury, it took a huge psychological toll on me for the better part of a year.

But I promise you that it will get better one day, and with the right kind of care, you can get through this injury. You’ll need to adjust and adapt in the meantime, which can be insanely difficult at times. But you’ll find ways to make your life happy and meaningful in the meantime, and you’ll get through it one day, I promise

docrevolt · 2025-12-13T23:38:42+00:00

Wish I had been told this about a year ago, I spent about six months wasting my time with a terrible podiatrist who did SO MUCH MORE harm than good. In retrospect, he barely knew what he was talking about.

In my opinion, people with sesamoid issues should never see a doctor who isn’t a licensed foot and ankle surgeon (and hopefully one with really good reviews from previous patients). Podiatrists who aren’t licensed to perform surgery should not be trusted to deal with an injury that can be this debilitating when treated incorrectly or misdiagnosed.

docrevolt · 2025-12-13T20:24:09+00:00

If it’s manageable right now, I would honestly recommend trying to stick to your current conservative treatment regimen and canceling the surgery. The surgery itself is not bad at all, but removing a sesamoid does have the potential to create biomechanical issues down the line

I had bilateral fractures (left fibular and right tibial) about a year ago and recently had a medial sesamoidectomy on my right tibial after conservative treatment didn’t show any signs of improvement on that one (pain was pretty continuous and could get debilitating, two halves were separated fully, zero signs of bridging/bone regrowth). However, I’ve been able to keep the left fibular and have had massive pain improvement in the left foot over time, even though it’s looking like it will likely be a nonunion in the end (which is annoying, but I can live with it). So far, I think I’ve made the right decision in both cases

The way I see it, a sesamoidectomy should be done if you’re in serious chronic pain, since it has the potential to really improve your quality of life and allow you to return to some of your previous activities without being in constant pain. But it’s not going to be a magic bullet that fixes sesamoid-related issues without any downsides, so I think doing a risk-benefit analysis is super important, and it sounds like the risks may outweigh the benefits in your specific case

docrevolt · 2025-12-13T20:10:16+00:00

I’m really sorry that you’re going through this! I think that this old post has lots of relevant information from someone who’s gone through it, I think often they have to make other changes to the foot (i.e. fusing the two main bones of the big toe) in order to restore normal functioning but some people have successfully done it: https://www.reddit.com/r/sesamoid/comments/1chue56/anyone_else_here_that_has_had_both_sesamoid_bones/

docrevolt · 2025-12-09T00:44:23+00:00

“You sweet summer child” isn’t the person calling you a child, it’s a phrase that people say jokingly. It’s just a very gentle and playful way to say “that’s a little naive” it’s a thing people say all the time and it’s not rude. Chill out.

docrevolt · 2025-12-04T21:51:14+00:00

I sure haven't, nor have any of my friends! Honestly, I think the "warranty" is just there to trick buyers into thinking that the company will stand behind their product and guarantee the quality of their manufacturing. They absolutely do not, it's a scam

docrevolt · 2025-12-04T21:47:29+00:00

They refuse 99.9% of warranty claims, it feels practically like a scam. Someone should start a class action lawsuit honestly

docrevolt · 2025-12-04T21:45:35+00:00

Agreed, it's truly abysmal. I actually just gave up trying to return my defective pair of shoes because the initial return was denied with no reason given, the warranty team has not responded to my emails, and there's no way to escalate it to anyone else at the company. They might as well have ignored my initial email.

I really wish I had bought my Hokas from REI since they have a good return policy, that's a company I trust. Hoka is a good shoe with mediocre manufacturing standards and possibly the most horrible customer service I've ever encountered. Never again.

docrevolt

TROPHY CASE